Jalice, Marlene

Jalice, Marlene is an individual health care provider with primary practice located at 4125 W 20Th Ave , Hialeah FL 33012-5874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jalice, Marlene can be contacted via phone (305) 424-3120.

Contact Information

Primary practice address
4125 W 20Th Ave Hialeah FL 33012-5874
Phone: (305) 424-3120
Fax: (305) 424-3182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9243340 Florida

Profile Details

NPI number 1467699256
LBN Legal business name Jalice, Marlene
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2009
Last updated Dec 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467699256 NPPES
Florida MEDICAID 001486400

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